| NPI | 1710241724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HEUSINGER PELTIER President/Prosthodontist 256-517-8071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 5654) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |